Individual
DR. FRED E DIFFENDERFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
420 LANCASTER PIKE, CIRCLEVILLE, OH 43113-9272
(740) 477-3333
(740) 477-1100
Mailing address
420 LANCASTER PIKE, CIRCLEVILLE, OH 43113-9272
(740) 477-3333
(740) 477-1100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1077
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0656875
—
OH
Enumeration date
10/20/2006
Last updated
01/28/2015
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